Wild Hog Musicfest & Corvette Gathering
                                            Helena, Arkansas
                        Fri., Sat. & Sun April 21 - 23, 2006

Registration Form

Name: ___________________________Passenger:__________________

Address: ___________________________________________________

City: ___________________________ State: ________ Zip: ________

E-Mail Address: ____________________       Phone # _______________
Registration to the Wild Hog Music Fest & Motorcycle Rally includes:
1. Entry to the downtown festival grounds and Corvette parking.
2. General Admission to all festival music.
3. Entry in the Corvette parade.
4. Entry in the poker run ONE HAND / car additional hands $5.00.
5. Entry in any and all field events.
6. Eligible for prize drawings throughout festival.

Wild Hog Music Fest, MC Rally & Corvette Gathering registration fee:
$20.00 for Car & Driver              Passenger registration is $10.00 additional.
Save $10.00 -  Register before April 1, 2006
entitles car, driver & passenger to register for $20.00.

$100 Wild Hog "VIV" (Very Important Vette)
Registration for Driver & passenger ($30.00 Value)
Plus 2 VIB wristbands for access to VIV area in front of the music stage ($50.00 value),
Plus 2, 2005 festival shirts ($40.00 value), Plus website recognition (priceless).

A $120.00 value for $100.00
Check here for VIV Registration ________________

Make Checks Payable To: Wild Hog Musicfest & Corvette Gathering 2006

Wild Hog Music Fest 2006
P.O. Box 2617
West Helena, AR 72390

Website: www.wildhogmusic.org          E-Mail: wildhogmusic@hotmail.com
Fax # 870 572-4130                                 Voice #  870 572-3408